CT scan, lower back (lumbar spine)
Facility: Deaconess Hospital Inc
Billing Code: 72131 (CPT)
- CPT Billing Code: 72131
- Insurance Median: $108
- Cash Discount Price: $587
- vs. Medicare Baseline: 1.01x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Mhnet | $35 - $62 | 33% |
| Aetna | $44 - $525 | 41% |
| Ambetter / Centene | $44 - $162 | 41% |
| Blue Cross Blue Shield | $44 - $243 | 41% |
| Caresource In | $44 - $77 | 41% |
| Humana | $44 - $445 | 41% |
| Medicaid / KanCare | $44 - $445 | 41% |
| Medicare (plans) | $44 - $108 | 41% |
| Meridiancare (Il) | $44 - $108 | 41% |
| Meridiancomplete (Il) | $44 - $108 | 41% |
| Meridianhealth (Il) | $44 | 41% |
| Molina (Il) Mmai | $44 - $108 | 41% |
| Molina Il | $44 - $108 | 41% |
| Mytru Advantage | $44 - $108 | 41% |
| Patoka Valley Health Care (80/20 Plan) | $44 - $217 | 41% |
| Patoka Valley Health Care (90/10 Plan) | $44 - $203 | 41% |
| Triwest Vapc3 | $44 - $103 | 41% |
| UnitedHealthcare | $44 - $455 | 41% |
| Wellcare (Il) Mmai | $44 - $108 | 41% |
| Youthcare (Meridian Il) | $44 | 41% |
| Youthcare (Wellcare Il) | $44 | 41% |
| Center Care Narrow Select | $45 - $1,050 | 42% |
| Center Care Open Access | $45 - $1,139 | 42% |
| United Behavioral Health | $49 - $96 | 46% |
| Caresource In Marketplace | $57 - $162 | 53% |
| Deaconess Onecare | $57 - $216 | 53% |
| Iu Health Network | $57 - $781 | 53% |
| Alliance Coal | $60 - $211 | 56% |
| Allied National | $61 - $1,067 | 57% |
| Claimdoc | $61 - $1,067 | 57% |
| Healthscope | $61 - $1,062 | 57% |
| Hopetrust | $66 - $259 | 62% |
| Hstechnology | $66 - $259 | 62% |
| Encircle/Encore Combined | $70 - $507 | 66% |
| Encircle/Encore Elite+ | $70 - $238 | 66% |
| Encircle/Encore Prime | $70 - $507 | 66% |
| Noncontracted | $70 - $173 | 66% |
| Naphcare | $72 - $178 | 67% |
| Ky Racing Health & Welfare Fund | $100 - $587 | 94% |
| Self-Pay | $100 - $587 | 94% |
| Cigna | $154 - $1,245 | 144% |
| Claritev (Formerly Phcs Multiplan) | $154 - $787 | 144% |
| First Health | $154 - $1,316 | 144% |
| Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) | $154 - $818 | 144% |
| Chamber Care | $172 - $466 | 161% |
| Parkview Signature Care | $195 - $1,210 | 183% |
| Healthlink | $215 - $1,512 | 201% |
| National Rural Electric | $253 - $1,566 | 237% |
| Immergrun | $744 | 697% |